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題名 | 頸部注射海洛因毒品致深部頸部感染併頸椎硬腦膜上膿瘍:一病例報告=Deep Neck Infection with Cervical Epidural Abscess after Local Injection in a Heroin User: A Case Report |
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作者姓名(中文) | 陳思穎; 璩大成; 賴昭智; 李彬州; 林文雄; | 書刊名 | 中華民國急診醫學會醫誌 |
卷期 | 4:2 2002.06[民91.06] |
頁次 | 頁98-104 |
分類號 | 416.29 |
關鍵詞 | 頸椎硬腦膜上膿瘍; 深部頸部感染; 藥物成癮; 金黃色葡萄球菌; Cervical epidural abscess; Deep neck infection; Drug abuse; Staphylococcus aureus; |
語文 | 中文(Chinese) |
中文摘要 | 本文報告一位63歲男性病患發燒、頸部僵硬疼痛三天後,突然四肢癱瘓和大小便失禁被送至急診。理學檢查發現頸部僵硬,右頸部紅腫並有海洛因注射針孔殘跡,磁振造影檢查發深頸部感染併第二至第四頸椎硬腦膜上膿瘍,血液及手術檢體細菌培養金黃色葡萄球菌(Staphylococcus aureus),雖積極給予治療,病患仍於6天後死亡。 |
英文摘要 | Epidural abscess is an infrequently CNS infection, and cervical epidural abscess is even less common. The symptoms and signs of this condition are nonspecific. Patients typically8 develop neurological deficits that may rapidly progress to paralysis and mortality. We describe a patient with sudden onset of quadriplegia and incontinence after fever and neck stiffness for 3 days. Local redness and swelling with needle pore residue over right aspect of neck was found. Emergent MRI showed deep neck infection complicated with 2nd-4th cervical spine epidural abscess. Despite aggressive management, the patient died 6 days later due to what?. Early diagnosis due to a high index of suspicion, emergent surgical intervention, and prolonged antibiotics administration are the determining factors associated with a favorable outcomes. |
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